Topical application of travoprost for combating hair loss

ABSTRACT

Travoprost medicament compositions for non-daily topical application are useful for simulating or inducing the growth and/or decreasing the loss and/or increasing the density and/or reducing the heterogeneity in the diameter of human hair shafts/follicles, e.g., for the treatment of androgenic alopecia, such medicament compositions being at least twice applied over a time interval of greater than 24 hours.

CROSS-REFERENCE TO EARLIER APPLICATIONS

This application is a continuation of PCT/FR 2008/051539, filed Aug. 28,2008 and designating the United States (published in the French languageon Mar. 12, 2009 as WO 2009/030862 A2; the title and abstract were alsopublished in English), which claims priority under 35 U.S.C. §119 ofapplication Ser. No. 07/57208, filed in France on Aug. 28, 2007, eachearlier application hereby expressly incorporated by reference in itsentirety and each assigned to the assignee hereof.

BACKGROUND OF THE INVENTION

1. Technical Field of the Invention

The present invention relates to the formulation of travoprostcompositions useful to induce or stimulate the growth of hair shafts andin particular, human hair and eyelashes.

2. Description of Background and/or Related and/or Prior Art

In human beings, the growth of the hair is cyclical and comprises threesuccessive phases: the anagen phase, the catagen phase and the telogenphase. Each follicle of the hair is thus continually replaced,cyclically and independently of the adjacent follicles. The anagen phaseor growth phase, during which the hair lengthens, lasts several years.The catagen phase, which succeeds the anagen phase, is very short andlasts only a few weeks. During this phase, the hair undergoes aninvolution, the follicle atrophies and its implantation in the skinappears less and less deep. The telogen phase, which lasts severalmonths, corresponds to a period of rest of the follicle, where the hairfinishes by falling out. After this resting phase, a new follicle isregenerated there and a new cycle recommences.

At any moment, not all the hairs are in the same phase at the same time.Thus, out of the approximately 150,000 individual hairs which make upthe hair, only approximately 10% of them are at rest and will thus bereplaced in a few months according to a biological clock specific toeach hair.

In the mouse and other furry mammals, the hair follicles also have areplacement cycle comprising the three anagen, catagen and telogenphases; however, the hair cycles are often “synchronized”, that is tosay in the same phase of the cycle at the same time in the same region.

The natural loss of the hair can be estimated, on average, at a fewhundred hairs per day for a normal physiological state. However, ithappens that the hair cycle can go wrong and that hair loss acceleratesand results in a temporary or definitive loss of the hair known asalopecia. An alopecia can be caused in different ways.

It may involve a massive loss of or detrimental changes in the hairknown as telogen effluvium, after pregnancy, during conditions ofundernourishment or dietary imbalances, or also during conditions ofasthenia or hormonal dysfunctioning, as may be the case during or afterthe menopause. It may also involve loss of or detrimental changes in thehair in connection with seasonal phenomena. In certain dermatosisconditions of the scalp with an inflammatory nature, such as, forexample, psoriasis or seborrheic dermatitis, hair loss can be greatlyincreased or can result in highly disrupted cycles of the follicles.

It may also be a matter of alopecia, which is essentially due to adisturbance of hair replacement which results, first, in an accelerationin the frequency of the cycles at the expense of the quality of the hairand then of its amount. The successive growth cycles result in hairwhich is increasingly fine and increasingly short and which is graduallyconverted to an unpigmented down. Areas are preferentially affected, inparticular the temples or the front of the head, in men, and, in women,a diffuse alopecia of the vertex is observed.

It is a matter more particularly of androgenic alopecia. In asignificant number of cases, early hair loss takes place in geneticallypredisposed subjects; it is then a matter of androchronogeneticalopecia. This form of alopecia affects men in particular.

Furthermore, it is known that certain factors, such as hormonalimbalance, physiological stress or malnutrition, can accentuate thephenomenon.

The term alopecia also covers an entire family of conditions of the hairfollicle having as a final consequence partial or general definitivehair loss.

For many years, in the cosmetic or pharmacy industry, compositions havebeen solvent which make it possible to eliminate or reduce alopecia andin particular to induce or stimulate hair growth or to decrease hairloss.

From this viewpoint, a large number of compositions comprising verydiverse active principles, are known, such as, for example,2,4-diamino-6-piperidinopyrimidine 3-oxide or “minoxidil”, described inU.S. Pat. Nos. 4,139,619 and 4,596,812, or its numerous derivatives,such as those described, for example, in EP-0353123, EP-0356271,EP-0408442, EP-0522964, EP-0420707, EP-0459890 and EP-0519819.

Clinical studies have demonstrated that PGF_(2α) analogues have theproperty of bringing about the growth of body hairs and eyelashes in manand animals (Murray A and Johnstone M D, 1997, Am. J. Opht., 124(4),544-547). In man, tests carried out on the scalp have shown that aprostaglandin E₂ analogue (viprostol) has the property of increasinghair density (Roenigk H H., 1988, Clinic. Dermatol., 6(4), 119-121).

WO 98/33497 describes pharmaceutical compositions comprisingprostaglandins or prostaglandin derivatives useful to combat hair lossin man. Prostaglandins of the A₂, F_(2α) and E₂ type are preferred.

Travoprost, alone or in combination, has been provided for stimulatinghair growth when applied daily (WO 03/009820, EP-1352629 andEP-1358868).

However, from the above it will be seen that the majority of theproducts intended to combat hair loss and/or to induce hair regrowthexhibit a demanding dosage for the patient as the administration has tobe carried out daily or twice daily. In particular, the dosagerecommended for minoxidil, at the dose of 2%, is a twice-dailyadministration.

Thus, a product with an effectiveness comparable to or greater than thatof the products already existing, but which is administered lessfrequently, i.e., from non-daily to weekly, indeed even twice monthly,will present a major advantage for the patient in terms of comfort andsafety of use.

There thus exists a real need to identify and/or develop a product witha less restrictive dosage which would not require daily or twice-dailyadministration to be as effective, indeed even more effective, thanthose products identified above.

SUMMARY OF THE INVENTION

It has now transpired that travoprost, administered non-daily, makes itpossible to induce a growth of the hair shafts comparable to, and evenbetter than, that obtained with a daily administration. Specifically, inthe examples hereinafter presented, it has been demonstrated,surprisingly, that travoprost, administered as a single treatment,induces a growth of human hair follicles in vitro which is comparable tothat observed with a repeated treatment with the compound for 7 days(see FIGS. 1 and 3). Furthermore, it has also been demonstrated in vivo,surprisingly, that a single administration of travoprost is moreeffective with regard to the regrowth of hair shafts than dailyadministrations (see FIGS. 4 and 5).

The present invention thus features the administration of travoprost orcompositions comprised thereof; the travoprost or the composition beinguseful to stimulate or induce the growth and/or to decrease the lossand/or to increase the density and/or to reduce the heterogeneity in thediameter of the hair shafts in human beings, such compositions beingadministered according to a time interval from two applications ofgreater than 24 hours.

More specifically, the present invention features the formulation oftravoprost into medicaments for topical application, to stimulate orinduce the growth and/or to decrease the loss and/or to increase thedensity and/or to reduce the heterogeneity in the diameter of the hairshafts in human beings, wherein the regimen for administration of themedicament comprises a time interval from two applications of greaterthan 24 hours.

In the context of the present invention, the terms dosage (of theapplication of the composition) and regimen for administration areequivalent.

Application can be carried out non-daily, that is to say, every two,three, four, five, six or seven days. Likewise, the present inventionalso features weekly, twice weekly, thrice weekly, monthly, twicemonthly or thrice monthly application.

The hair shafts are preferably selected from among head hairs, bodyhairs and eyelashes.

Preferably, the composition is formulated as a medicament.

DETAILED DESCRIPTION OF BEST MODE AND SPECIFIC/PREFERRED EMBODIMENTS OFTHE INVENTION

According to a first embodiment of the invention, the composition, moreparticularly formulated as a medicament, is applied with a time intervalfrom two applications of greater than 24 hours. In this case, topicalapplication is no longer carried out every day (daily or twice dailyadministrations) but, in contrast, it is carried out every two, three,four, five, six or seven days and should thus be regarded as comingwithin the field of the present invention.

According to another embodiment, the composition, more particularlyformulated as a medicament, is applied in a weekly application.

According to another embodiment of the invention, the composition, moreparticularly formulated as a medicament, is applied two times (twiceweekly) or three times (thrice weekly) per week.

According to another embodiment, the composition, more particularlyformulated as a medicament, is applied in one application once per month(monthly).

According to another embodiment, the composition, more particularlyformulated as a medicament, is applied once, two times (or twicemonthly) or three times per month.

In the context of the present invention, it is possible to envisageadministering the composition, more particularly formulated as amedicament, several times according to the time scale defined (weekly ormonthly). The practitioner will thus adjust the duration of thetreatment according to the result desired, it being possible for thetreatment to be thus spread over several months.

Advantageously, the composition, more particularly formulated as amedicament, comprises an amount of travoprost of less than or equal to0.1% by weight, with respect to the total weight of the composition,more preferably of less than or equal to 0.05%, more preferably of lessthan or equal to 0.01% to more preferably of from 0.005 and 0.01%.

The present invention thus features the formulation of travoprost intomedicaments for topical application.

According to a preferred embodiment, the composition, more particularlyformulated as a medicament, comprises approximately 0.01% of travoprostand is intended to be applied in a topical application.

The composition, more particularly formulated as a medicament, ispreferably in the form of a lotion, a cream, a salve, a powder or ashampoo or conditioner.

According to one of its embodiments, the compositions are useful toprevent, decrease or slow down hair loss, in particular for thetreatment of alopecia, in particular androgenetic alopecia.

This invention also features the cosmetic formulation of travoprost intoa cosmetic hair care composition for human beings or into a haircomposition for human beings useful to treat androgenic alopecia. Thus,this composition makes it possible to maintain the hair in a goodcondition and/or to combat natural hair loss in man.

Thus, the present invention features a cosmetic regimen for combatingnatural hair loss and/or maintaining the hair in a good condition,comprising the topical application of travoprost, the interval from twoapplications being greater than 24 hours.

The present invention also features a regimen for the treatment ofandrogenic alopecia, comprising the application of a hair carecomposition comprising travoprost to an individual requiring such atreatment, the said composition being applied with a time interval fromtwo applications of greater than 24 hours.

In the context of the method for the treatment of androgenic alopecia,the composition is applied every two, three, four, five, six or sevendays.

According to an alternative form of the invention, the composition isapplied in a weekly, twice weekly, thrice weekly, monthly, twice monthlyor thrice monthly application. Preferably, the said compositioncomprises an amount of travoprost of less than or equal to 0.1%;preferentially, the composition comprises an amount of travoprost offrom 0.005 to 0.01%.

The present invention thus features the non-daily application oftravoprost, which eliminates a major constraint. The frequency ofadministration is lower and thus the dosage is different from that whichis normally described. Thus, the topical application of the compositionaccording to the invention can be carried out every two, three, four,five, six or seven days. Likewise, the present invention is alsotargeted at the weekly, twice weekly, thrice weekly, monthly, twicemonthly or thrice monthly application.

It is also possible to conduct a sequential treatment in which thefrequency will be defined by the treatment sequence. It is possible, inthis case, to conduct a first treatment sequence with a particularfrequency (for example weekly), followed by a second treatment sequencewith a different frequency (for example twice monthly), such as, forexample, a treatment defined by a practitioner at the rate of threemonths with an application once per week and then three months with anapplication once per month. Different sequences are possible; they willbe defined by the practitioner on a case-by-case basis.

Travoprost is a prostaglandin analogue having the following formula:

It is fluprostenol isopropyl ester, also known under the chemical namepropane-2-yl(Z)-7-[(1R,2R,3R,5S)-3,5-dihydroxy-2-[(1E,3R)-3-hydroxy-4-[3-(trifluoromethyl)phenoxy]but-1-enyl]cyclopentyl]hept-5-enoate,also known under the chemical name isopropyl(Z)-7-[(1R,2R,3R,5S)-3,5-dihydroxy-2-[(1E,3R)-3-hydroxy-4-[(α,α,α-trifluoro-m-tolyl)oxy]-1-butenyl]cyclopentyl]-5-heptenoate.The corresponding acids of travoprost can also be administered accordingto the invention.

“Heterogeneity in the diameters of the hairs” means a great variation inthe diameters of the hairs over the same area of the scalp; some hairshaving a physiological diameter from 0.05 to 0.1 mm and others having,in the immediate vicinity of these hairs, a reduced diameter (finehairs). Thus, “to reduce the heterogeneity in the diameters” means toincrease the diameter of the fine hairs.

“To increase the hair density” means to increase the number of hairshafts, hairs or eyelashes per cm² of skin or scalp.

“Topical application” means application on the superficial body growths,skin, in particular scalp, body hairs and head hairs.

Advantageously, a combination according to the invention will compriseexcipients suitable for administration to the cutaneous area or hairshaft targeted, in particular scalp, head hairs, body hairs oreyelashes. The medium in which the travoprost will be formulatedaccording to the invention can be anhydrous or aqueous. The compositioncomprises, for example, a physiologically acceptable medium which can becomposed of water or of at least one solvent selected from hydrophilicorganic solvents, lipophilic organic solvents, amphiphilic organicsolvents and mixtures thereof, in particular a mixture of water and ofat least one of the above-mentioned solvents.

For topical application, the composition according to the invention canbe in particular in the form of an aqueous, aqueous/alcoholic or oilysolution or of a dispersion of lotion or serum type, of emulsions with aliquid or semi-liquid consistency of the milk type, obtained bydispersion of a fatty phase in an aqueous phase (O/W) or vice-versa(W/O), or multiple emulsions, of a loose or compact powder to be used asis or to be incorporated in a physiologically acceptable medium, or ofsuspensions or emulsions with a soft consistency of the aqueous oranhydrous gel or cream type, or also of microcapsules or microparticles,or of vesicular dispersions of ionic and/or non-ionic type. It can thusbe provided in the form of an ointment, tincture, cream, salve, powder,patch, impregnated pad, solution, emulsion or vesicular dispersion,lotion, gel, spray, suspension, shampoo, aerosol or foam. It can beanhydrous or aqueous. It can also comprise solid preparationsconstituting cleaning soaps or bars. These compositions are formulatedaccording to the usual methods.

The composition according to the invention can be, in particular, a haircare composition, especially a shampoo or a conditioner, in particularfor twice weekly, thrice weekly or weekly application, a hair settinglotion, a treating lotion, a hair care lotion, for example forapplication every two days or twice weekly, a styling cream or gel, hairrestructuring lotions, a mask, and the like.

The cosmetic composition of the invention is preferably a cream, a hairlotion, a shampoo or conditioner, a hair mascara or a mascara for theeyelashes.

For application on the eyelashes or body hairs, the compositionaccording to the invention can be provided in the form of a mascara,which may or may not be pigmented, to be applied with a brush or comb tothe eyelashes, eyebrows or hair or also to beard or moustache hairs.

The amounts of the various constituents of the compositions according tothe invention are those conventionally used in the fields underconsideration.

The aqueous phase comprises water and optionally an ingredient misciblein all proportions with water, such as lower C₁ to C₈ alcohols, such asethanol or isopropanol, polyols, such as propylene glycol, glycerol orsorbitol, or also acetone or ether.

When the composition according to the invention is an emulsion, theproportion of the fatty phase can range from 2 to 80% by weight, inparticular from 5 to 80% by weight and preferably from 5 to 50% byweight with respect to the total weight of the composition. The oils,waxes, emulsifiers and coemulsifiers included in the composition in theemulsion form are selected from those conventionally employed in thecosmetics field. The emulsifier and the coemulsifier are present in thecomposition in a proportion ranging from 0.1 to 30% by weight, inparticular from 0.3 to 30% by weight, preferably from 0.5 to 20% byweight and better still from 1 to 8% by weight, with respect to thetotal weight of the composition. The emulsion can additionally compriselipid vesicules and in particular liposomes.

When the composition according to the invention is an oily solution orgel, the fatty phase can represent more than 90% of the total weight ofthe composition.

Advantageously, the composition comprises microspheres, nanospheres,liposomes, oleosomes or nanocapsules in which the travoprost isencapsulated. Examples of such formulations are described in particularin EP-375520, EP-447318, EP-557489, WO 97/12602, EP-1151741 or U.S. Pat.No. 5,914,126.

By way of example, the microspheres can be prepared according to themethod described in EP-0375520.

The nanospheres can be provided in the form of an aqueous suspension andbe prepared according to the methods described in FR-0015686 andFR-0101438.

The oleosomes comprise an oil-in-water emulsion formed by oily globulesprovided with a lamellar liquid crystal coating dispersed in an aqueousphase (see EP-0641557 and EP-0705593).

The travoprost can also be encapsulated in nanocapsules composed of alamellar coating obtained from a silicone surfactant as described inEP-0780115; the nanocapsules can also be prepared based onwater-dispersible sulfonic polyesters, according to, for example, thetechnique described in FR-0113337.

Advantageously, for a hair application, the composition is an aqueous,alcoholic or aqueous/alcoholic solution or suspension and better still awater/ethanol solution or suspension. The alcohol fraction can representfrom 5 to 99.9% to better still from 8 to 80%.

For a mascara application, the composition is a dispersion ofwax-in-water or wax-in-oil, a gelled oil or an aqueous gel, which may ormay not be pigmented.

The compositions of the invention can also comprise adjuvantsconventional in the cosmetics field, such as hydrophilic or lipophilicgelling or thickening agents, hydrophilic or lipophilic additives,preservatives, antioxidants, solvents, fragrances, fillers, screeningagents, odor absorbers, electrolytes, neutralizing agents, UV blockingagents, such as sunscreens, film-forming polymers, cosmetic andpharmaceutical active agents with a beneficial effect on the skin orhair shafts, and coloring materials which are soluble or insoluble inthe medium. The amounts of these various adjuvants are thoseconventionally employed in the cosmetics field and in particular from0.01 to 50% of the total weight of the composition, for example from0.01 to 20%, in particular less than or equal to 10% of the total weightof the composition and especially greater than or equal to 0.1%. Theseadjuvants, depending on their nature, can be introduced into the fattyphase, into the aqueous phase and/or into lipid spherules, vesicles ormicrospheres, such as liposomes.

The fatty phase can comprise fatty or oily compounds which are liquid atambient temperature (25° C.) and atmospheric pressure (760 mm of Hg),generally referred to as oils. These oils may or may not be compatiblewith one another and may form a macroscopically homogeneous liquid fattyphase or a two- or three-phase system.

The fatty phase can, in addition to the oils, comprise waxes, gums,lipophilic polymers, or “pasty” or viscous products comprising solidparts and liquid parts.

Exemplary are, as oils or waxes which can be employed according to theinvention, mineral oils (liquid petrolatum, hydrogenated isoparaffin),vegetable oils (liquid fraction of karite butter, sunflower oil, soybeanoil, wheat germ oil), animal oils (perhydrosqualene), synthetic oils(purcellin oil, fatty acid esters), silicone oils or waxes(phenyltrimethicone, cyclomethicone, linear or cyclicpolydimethylsiloxanes) and fluorinated oils (perfluoropolyethers),beeswax, candelilla wax, carnauba wax or paraffin wax. Free fatty acids(stearic acid, linoleic acid, linolenic acid) and fatty alcohols may beadded to these oils and waxes.

Exemplary emulsifiers which can be employed according to the inventionare, for example, glycerol stearate or laurate, sorbitol stearates oroleates, alkyl dimethicone copolyols (with alkyl≧8) and mixturesthereof, polyoxyethylenated sorbitol stearate or oleate, for examplepolysorbate 60 and the PEG-6/PEG-32/Glycol Stearate mixture marketedunder the trademark Tefose® 63 by Gattefossè, polyethylene glycolmonostearate or monolaurate, dimethicone copolyols and mixtures thereof.

Exemplary solvents which can be employed according to the invention, arelower alcohols, in particular ethanol and isopropanol, or propyleneglycol.

Exemplary hydrophilic gelling agents which can be employed according tothe invention, are carboxyvinyl polymers (carbomer), acrylic copolymers,such as acrylate/alkylacrylate copolymers, polyacrylamides,polysaccharides, such as hydroxypropylcellulose, natural gums and claysand exemplary are as lipophilic gelling agents, of modified clays, suchas Bentones®, metal salts of fatty acids, such as aluminum stearates,hydrophobic silica, ethylcellulose and polyethylene.

In the continuation of the text and unless otherwise indicated, theamounts of the various ingredients of the composition are given aspercentage by weight, with respect to the total weight of thecomposition.

A preferred composition of the invention is a composition to be appliedto the scalp.

According to one advantageous embodiment, these compositionsadditionally comprise at least one agent beneficial for the hair, suchas in particular silicones, vegetable, animal, mineral or syntheticoils, waxes, ceramides, pseudoceramides, cationic polymers, sunscreenagents or vitamins.

The silicones which can be employed according to the invention are inparticular polyorganosiloxanes which are insoluble in the compositionand which can be provided in the form of oils, waxes, resins or gums.

Organopolysiloxanes are defined in more detail in the work by WalterNoll, “Chemistry and Technology of Silicones” (1968), Academic Press.They can be volatile or non-volatile.

Travoprost is preferably the only active principle in promoting hairregrowth and/or limiting hair loss. However, it can also be administeredin combination with other compounds active in promoting hair regrowthand/or limiting hair loss.

These compounds can in particular be selected from lipoxygenaseinhibitors, such as described in EP 648 488, bradykinin inhibitors,described in particular in EP 845 700, prostaglandins and theirderivatives, in particular those described in WO 98/33497, WO 95/11003,JP 97-100091 and JP 96134242, prostaglandin receptor agonists orantagonists, or non-prostanoic prostaglandin analogues, such asdescribed in EP 1 175 891 and EP 1 175 890, WO 01/74307, WO 01/74313, WO01/74314, WO 01/74315 or WO 01/72268.

Agents which promote hair growth which can be present in thecompositions according to the invention include vasodilators,anti-androgens, cyclosporins and their analogues, antimicrobials,anti-fungals, anti-inflammatories, with the exception of selectiveprostaglandin H synthase-1 or COX-1 inhibitors, or triterpenes, alone oras a mixture.

Vasodilators, such as potassium channel agonists, including minoxidiland its derivatives, aminexil and its derivatives, such as the compoundsdescribed in U.S. Pat. Nos. 3,382,247, 5,756,092, 5,772,990, 5,760,043,5,466,694, 5,438,058, 4,973,474, cromakalim and diazoxide or nicorandil,can thus be included in the compositions.

The anti-androgens which can be used include in particular 5α-reductaseinhibitors, such as finasteride and the compounds described in U.S. Pat.No. 5,516,779, cyprosterone acetate, azelaic acid, its salts and itsderivatives and the compounds described in U.S. Pat. No. 5,480,913,flutamide and the compounds described in U.S. Pat. Nos. 5,411,981,5,565,467 and 4,910,226, RU58841 and Casodex.

The antimicrobial compounds can be selected from among seleniumderivatives, ketoconazole, octopirox, triclocarban, triclosan, zincpyrithione, itraconazole, asiatic acid, hinokitiol, mipirocin, thecompounds described in EP-680,745, clinycin hydrochloride, benzoylperoxide or benzyl peroxide, and minocyclin. The anti-inflammatories canbe selected from specific Cox-2 inhibitors, such as, for example, NS-398and DuP-697 (B. Batistini et al., DN&P 1994, 7(8), 501-511) and/orlipoxygenase inhibitors, in particular 5-lipoxygenase inhibitors, suchas, for example, zileuton (F. J. Alvarez and R. T. Slade, PharmaceuticalRes., 1992, 9(11), 1465-1473).

Other compounds which are active in promoting hair growth and/orlimiting hair loss present in the compositions can also be selected fromthe group consisting of 6-O-[(9Z,12Z)-octadeca-9,12-dienoyl]hexapyranose, such as described in FR-027293and FR-0212828, benzalkonium chloride, benzethonium chloride, phenol,oestradiol, in particular 17α-oestradiol or 17β-oestradiol,chlorpheniramine maleate, chlorophyllin derivatives, cholesterol,cysteine, methionine, benzyl nicotinate, menthol, peppermint oil,calcium pantothenate, panthenol, resorcinol, protein kinase Cinhibitors, prostaglandin H synthase-1 or COX-1 activators, such as aredescribed in FR-2732597, glycosidase inhibitors, glycosaminoglycanaseinhibitors, pyroglutamic acid esters, hexosaccharidic oracylhexosaccharic acids, aryl-substituted ethylenes, N-acylated aminoacids, flavonoids, ascomycin derivatives and analogues, histamineantagonists, triterpenes, such as ursolic acid and the compoundsdescribed in U.S. Pat. Nos. 5,529,769, 5,468,888 and 5,631,282,saponins, proteoglycanase inhibitors, oestrogen agonists andantagonists, pseudopterins, cytokines and growth factor promoters, IL-1or IL-6 inhibitors, IL-10 promoters, TNF inhibitors, vitamins, such asvitamin D, vitamin B12 analogues and pantothenol, hydroxy acids,benzophenones, esterified fatty acids, such as described in FR-027293and FR-0212828, and hydantoin.

According to one advantageous embodiment of the invention, thetravoprost is administered in combination with another compound activein promoting hair growth and/or limiting hair loss, such as a compoundselected from prostaglandins, in particular prostaglandin PGE₁ and PGE₂,their salts, their esters, their analogues and their derivatives, inparticular those described in WO 98/33497, WO 95/11003, JP 97-100091 andJP 96134242, especially prostaglandin receptor agonists. It can inparticular comprise at least one compound, such as agonists (in the acidform or in the form of a precursor, in particular in the ester form) ofthe prostaglandin F_(2α) receptor (FP-R), like latanoprost,fluprostenol, cloprostenol, bimatoprost or unoprostone, agonists (andtheir precursors, in particular esters) of prostaglandin E₂ receptors(EP1-R, EP2-R, EP3-R or EP4-R), such as 17-phenyl-PGE₂, viprostol,butaprost, misoprostol, sulprostone, 16,16-dimethyl-PGE₂, 11-deoxy-PGE₁or 1-deoxy-PGE₁, agonists and their precursors, in particular esters, ofthe prostacyclin (IP) receptor, such as cicaprost, iloprost,isocarbacyclin or beraprost, agonists and their precursors, inparticular esters, of the prostaglandin D₂ receptor, such as BW245C((4S)-(3-[(3R,S)-3-cyclohexyl-3-hydroxypropyl]-2,5-dioxo-4-imidazolidineheptanoicacid) or BW246C((4R)-3-[(3R,S)-3-cyclohexyl-3-hydroxypropyl]-2,5-dioxo-4-imidazolidineheptanoicacid), or agonists and their precursors, in particular esters, of thethromboxane A2 (TP) receptor, such as I-BOP([1S-[1α,2α(Z),3β(1E,3S),4α]]-7-[3-[3-hydroxy-4-[4-iodophenoxy]-1-butenyl]-7-oxabicyclo[2.2.1]hept-2-yl]-5-heptenoicacid).

According to another embodiment, the composition according to theinvention comprises, in addition to the travoprost, advantageously atleast one 15-PGDH inhibitor and/or at least one prostaglandin or oneprostaglandin derivative, such as, for example, prostaglandins of the 2series, including in particular PGF_(2α) and PGE₂, in the salt form orin the form of precursors, in particular esters (for example, isopropylesters), their derivatives, such as 16,16-dimethyl-PGE₂, 17-phenyl-PGE₂,16,16-dimethyl-PGF_(2α) or 17-phenyl-PGF_(2α), or prostaglandins of the1 series, such as 11-deoxyprostaglandin E₁ or 1-deoxyprostaglandin E₁,in a salt or ester form, their analogues, in particular latanoprost,fluprostenol, unoprostone, bimatoprost, cloprostenol, viprostol,butaprost or misoprostol, their salts or their esters.

Preferably, the composition comprises at least one agonist of the FPreceptor, such as described, for example, in WO03/009820, or oneprostanoic or non-prostanoic agonist of the EP2 and/or EP4 receptors, inparticular as described in EP-1175892.

The compositions of the invention can also comprisepenetration-accelerating agents. These compounds are known to oneskilled in the art and improve the passage of the agents to the site ofaction; they will be conventionally present in the compositions atconcentrations of greater than or equal to 0.01% by weight, inparticular from 0.1 to 20% by weight and preferably from 0.1 to 5% byweight, with respect to the total weight of the composition. Compoundsof this type which can be used are, for example, urea and the compoundsmentioned in WO01/74313.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a graph comparing the effect of travoprost acid 1 μM, after asingle treatment at the time of culturing and after repeated treatmentlasting 7 days, on the elongation of the hair shaft of human hairfollicles kept alive (expressed in mm) as a function of the time.

FIG. 2 is a graph comparing the effect of travoprost acid 1 μM, after asingle treatment at the time of culturing and after treatment during 7days, on the elongation of the hair shaft of human hair follicles keptalive represented by the area under the curve from D0 to D7.

FIG. 3 is a graph showing the statistical analysis of the experimentdescribed in FIG. 1.

The statistical analysis is carried out by comparing the effect oftravoprost acid at 1 μM in DMSO after a single and repeated treatment,in comparison with the carrier group treated with 0.1% DMSO.

p>0.05=NS; 0.01<p<0.05=*; 0.001<p<0.01=**; p<0.001=***

FIG. 4 is a graph comparing the effect on the change in the regrowth ofthe body hair in the C57BL/6 mouse of the ethanol carrier in repeateddaily administration for 21 days, of 2.5% minoxidil in repeated dailyadministration for 21 days, of 0.01% travoprost in repeated dailyadministration for 5 consecutive days and of 0.01% travoprost in asingle administration.

FIG. 5 is a graph comparing the effect on the change in the regrowth ofthe body hair in the C57BL/6 mouse, expressed by the area under thecurve, of the ethanol carrier in repeated daily administration for 21days, of 2.5% minoxidil in repeated daily administration for 21 days, of0.01% travoprost in repeated daily administration for 5 consecutive daysand of 0.01% travoprost in a single administration

p>0.05=NS; 0.01<p<0.05=*; 0.001<p<0.01=**; p<0.001=***

To further illustrate the present invention and the advantages thereof,the following specific examples are given, it being understood that sameare intended only as illustrative and in nowise limitative. In saidexamples to follow, all parts and percentages are given by weight,unless otherwise indicated.

EXAMPLES Example 1 Human Hair Follicles Kept Alive 1: Methods

Human hair follicles are dissected while keeping the bulb and theconnective and epithelial sheaths intact to be cultured in anappropriate medium which makes it possible to provide for the growth ofthe follicle ex vivo while keeping its structure intact in the growth oranagen phase (Stenn, Ann. N.Y. Acad. Sci., 1991, Dec. 26, 642, xi-xiii).The growth of the hair follicles in vitro is then evaluated using themeasurement of elongation of the internal sheath.

A°/Organ Culture:

Human hair follicles of “terminal” type are isolated from a skin sampleresulting from facial surgery (lifting). For this, the skin is cut intopieces of approximately 5×5 mm. The hypodermis is separated from thedermis using a scalpel blade. The hair follicles are isolated from thehypodermal part under a binocular magnifier using fine forceps. Only thehair follicles in the growth phase with a bulb and intact connective andepithelial sheaths are retained for study.

The hair follicles thus isolated are incubated at 37° C. in a humidatmosphere (5% CO₂ and 95% air) and are cultured individually insuspension for 7 days in William's E medium supplemented with 2 mM ofL-glutamine, 10 μg/ml of insulin, 10 ng/ml of hydrocortisone and 1% ofantibiotics/antimitotics. The culture medium is replaced every 2 or 3days.

B°/Treatment:

The travoprost in its acid form is taken up in DMSO at a concentrationof 10⁻²M and stored at −20° C. until used.

The surviving hair follicles are treated with the DMSO carrier at afinal concentration of 0.1% or with the travoprost acid at aconcentration of 1 μM in DMSO (final DMSO concentration also at 0.1%).For each condition, 22 hair follicles are treated individuallysubsequent to culturing at D0. In the case of a repeated treatment, thetravoprost acid at 1 μM in DMSO is replaced at the time of the change inmedium, this being done for 7 days. In the case of a single treatment,the travoprost acid at 1 μM DMSO is added to the culture medium justonce in the culturing.

C°/Measurement of the Growth of the Hair Follicles In Vitro:

The growth of the hair follicles is determined by the measurement of theelongation of the hair shaft from day D0 to day D7. The elongation ofthe hair shaft is analyzed using Tina image analysis software. Themeasurements are carried out on hair follicles isolated at days D0, D3,D5 and D7.

D°/Statistical Analysis:

For a Hair Follicle:

The mean post-D0 length (by definition: the mean of the lengths measuredon the days following D0) is considered:

The mean post-D0 length is a function:

of the initial length at D0

of the treatment group

of other factors related to technological or biological variability.

The effect of the treatment can be estimated and can be combined with asignificance-probability that the estimated level of the effect can bethe result of chance, that is to say, under the hypothesis (referred toas “null” hypothesis) where there is no real effect.

A. Preliminary Screening:

The hair follicles exhibiting a “suspect” morphology at the end of thestudy are excluded from the analysis. In this study example, 15 hairfollicles (all groups mixed up) out of 66 cultured were discarded.

B. Statistical Model:

It is assumed that the mean post-D0 length is the sum of fourcomponents:

The “natural” effect of time on the elongation of the hair shaft in thepresence of DMSO.

The additional effect in the presence of the product (which may bepositive or negative).

An effect proportional to the initial length (length at D0). Thecoefficient of proportionality may be dependent on the group.

A random effect related to technological or biological variability.

C. Robust ANOVA Test:

Some measurements, referred to as “aberrant” measurements, can have ahighly disruptive effect on the estimation of the effects of the model.A robust ANOVA method is applied with regard to these measurements:“LTS” (Least Trimmed Squares). The principle of the LTS method is asfollows:

1. A definition is made at the start of a fixed proportion p0 ofobservations which it is desired to ignore in the estimation of theeffects (p0=10%) among all the observations present independently of thetreatment (observations of the entire study). The corresponding numberof observations is denoted n0.

2. n0 points are selected at random and excluded from the estimationprocess.

3. The parameters (effects) of the model are estimated.

4. Among the observations, excluded and non-excluded, the n0observations which are the least well predicted by the model areidentified.

5. The n0 least well predicted observations found in stage 4, are, intheir turn, excluded from the estimation process.

6. Stage 3 (estimation) is reverted to until the observations excludedin stage 5 remain unchanged (“convergence”).

It should be noted that the exclusion method is completely independentof the question posed (significant effect of the treatment).

In view of the random selection carried out in stage 2 of the LTSprocess, the solution (in terms of points excluded after convergence) isgenerally not unique. Consequently, the estimation of the effects of themodel depends on the initial random selection.

The LTS process is repeated a large number of times (200) starting fromdifferent random selections. Among the 200 models found, the choice ismade of that which minimizes the difference from the coefficients ofproportionality associated with each of the groups which connect theinitial length with the mean post-D0 length (optimization of theparallelism). This process of optimization of the parallelism guaranteesthat the additive effect of the treatment is identical, whatever theinitial length of the follicle (no significant interaction fromtreatment and slope of the straight line).

This process made possible the exclusion of 6 follicles out of a totalof 51 follicles used in the statistical analysis.

D. Interference Tests:

For each of the groups treated, a test is carried out on thesignificance of the additional effect of the product in comparison withthe control group (construction of the contrasts: Effect(Treatedi)−Effect(Control) for each treated group i).

The significance is adjusted by the number of tests carried out (=numberof groups treated).

2. Results

For each treatment, the elongation is expressed in cumulative mm fromday D0 [mean±SEM (n=22 at D0)]. The area under the curve (the sum of thetotal lengths of each hair follicle) is also calculated from day D0 toD7 for each condition [mean±SEM (n=22 at D0)].

The results presented in FIGS. 1 and 2 and summarized in the table belowshow that, as described in the literature, the elongation of the hairfollicles after treatment with the carrier DMSO is approximately 0.15 mmper day. A single treatment with travoprost acid at a concentration of 1μM in DMSO induces an elongation in the hair shaft of the human hairfollicles kept alive which is greater than that obtained with thecarrier DMSO. This effect appears from the third day of treatment. Thekinetics and the amplitude of response observed after a single treatmentat the time of culturing with travoprost acid at 1 μM in DMSO iscomparable with that obtained after a repeated treatment during the 7days of culturing.

The results of the statistical analysis presented in FIG. 3 show thatthe inductive effect of travoprost after a single or repeated treatmentis significantly different from that observed with the carrier DMSO.

Elongation at Treatment D 7 (mm) AUC (D 0-D 7) Significance DMSO 0.824.60 Travoprost at 1 1.23 5.82 * μM in repeated treatment Travoprost at1 1.27 5.83 ** μM in a single treatment

3. Conclusions

This example demonstrates that travoprost in repeated treatmentsignificantly induces the growth of human hair follicles in vitro.Surprisingly, this example also shows that travoprost in a singletreatment induces the growth of the hair follicles in a similar way, interms of kinetics and of amplitude of response, as travoprost inrepeated treatment.

This result indicates that a repeated treatment in man, that is to say adaily treatment, will not be essential in stimulating or inducing thegrowth of the hair follicles.

The effect of travoprost was thus evaluated in the model of regrowth ofthe body hair in the C57BL/6 mouse to validate these results in vivo.

Example 2 Model of Regrowth of the Body Hair in the C57BL/6 Mouse 1.Methods

The C57BL/6 mice are each a particularly useful model for the study ofhair growth:

In C57BL/6 mice, the fur is black. In the trunk of the animals, themelanocytes are present solely in the hair follicles and the productionof pigment is strictly correlated with the anagen phase of the haircycle (Slominski A. and Paus R., J. Invest. Dermatol., 10, 90S-97S,1993).

In young mice, the hair cycles are not in phase throughout the body butare synchronized in a region according to a rostro-caudal wave (Hale P.A. and Ebling F. J., J. EXP. Zool., 191, 49-62). At 42 days, the hairfollicles of the dorsal region enter the telogen phase (Chase H. B.Physiol. Rev., 34, 113-126, 195).

Thus, after clipping and shaving the backs of C57BL/6 mice aged 42 days,the regrowth can be easily visualized before the hair shafts appear atthe surface by the grey appearance which the skin assumes. The delay inappearance of the grey color of the skin and the delay in appearance ofthe hair shafts after clipping and shaving represent criteria which givean account of the rate of entry of the hair follicle into the anagenphase and the rate of growth of the hair shaft. These two criteria willthus be used to evaluate the activity on the hair growth of thecompounds tested.

A°/Model:

The male C57BL/6 mice are aged 42 days at the beginning of the study.The groups are formed of 10 animals.

On day D0, the backs of the animals are clipped with Minicut clippersequipped with a shoe (retention of 4 mm of hair shaft) and shaved with aBraun razor. Twenty-four hours after clipping and shaving, on day D1 ofthe study, a clinical observation is carried out and only the miceexhibiting a uniformly pink skin and unharmed by skin injuries areselected for introduction into the study.

The study is carried out over 21 days.

Day of the study Actions D-5 Reception of the animals andacclimatization D 0 Anaesthesia, clipping and shaving of the animals D 1Selection, randomization and introduction into the study of the animalsD 1 to D 21 Treatment at the clipped and shaved area D 1 to D 22Clinical observations D 1 to D 21 Evaluation of the hair growth D 22Euthanasia of the animals

The hair growth is evaluated according to the criteria defined in:

Scores Clinical appearance 0 Uniformly pink skin 1 Appearance ofgrey-colored marks on the clipped and shaven surface 2 Appearance of thefirst hair shafts on the clipped and depilated surface 3 Grey color overthe whole of the clipped and depilated surface 4 Presence of hair shaftsover the whole of the clipped and depilated surface 5 Uniform regrowthof body hairs from the clipped/depilated surface and the non-depilatedsurface

B°/Treatment:

Minoxidil in solution in ethanol at 2.5% is used as positive control ofthe regrowth of the body hair.

Travoprost in its isopropyl ester form is used in solution in ethanol at0.01%.

The travoprost, the minoxidil and the carrier are administered by thetopical route using a pipette at the rate of 50 μl per application.

The minoxidil and the carrier are administered in repeated daily fashionfrom day 1 to day 21 of the study. Two different treatments are carriedout with the travoprost: a first group receiving a single administrationon day 1 of the study and a second group receiving five repeated dailyand consecutive administrations from day 1 to day 5 of the study.

C°/Evaluation of the Regrowth and Statistical Analysis:

The following calculations are carried out:

Mean±SEM of the scores per day for each group treated.

Areas under the curve (AUC) of the regrowth scores per animal from D1 toD22.

Mean±SEM of the AUC values per treatment group.

Percentage of increase in the AUC values for each treated group versusthe carrier group.

The AUC is obtained by summing the areas of the rectangles from thefirst and the final day of the study. The different treatment groups arecompared with the carrier group with regard to this parameter by meansof a Student's t-test.

2. Results

The results presented in FIGS. 4 and 5 and in the table of results belowshow that the minoxidil, in repeated daily administration for 21 days atthe dose of 2.5%, accelerates the regrowth of the body hair incomparison with the ethanol carrier. Surprisingly, a singleadministration of travoprost at 0.01% significantly accelerates theregrowth of the body hair in comparison with the carrier with anamplitude of response (31%) identical to that obtained after repeateddaily treatment of minoxidil at 2.5% (30%).

Contrary to all expectations, repeated daily and consecutiveadministrations for 5 days of travoprost at 0.01% do not accelerate theregrowth of the body hairs.

Regrowth of the body hair versus ethanol p value Treatment ΔAUC (D 1-D22) (Student's t-test) Significance Minoxidil at 2.5% +34% 0.035 *repeated daily administrations (21 days) Travoprost at  +7% 0.506 NS0.01% repeated daily administrations (5 days) Travoprost at +31% 0.011** 0.01% single administration

3. Conclusions

This second example demonstrates, surprisingly, that travoprost, after asingle administration, significantly accelerates the in vivo regrowth ofthe body hair in the mouse. This effect is comparable to that observedwith the reference compound minoxidil used in repeated dailyadministration. However, contrary to all expectations, travoprost usedin repeated consecutive daily administrations for 5 days is lesseffective with regard to the in vivo regrowth of the body hair. A singlein vivo administration of travoprost is thus more effective with regardto the induction of the growth of the hair follicles than a repeateddaily administration.

Examples 1 and 2 thus show that travoprost induces the growth of thehair follicle in vitro and in vivo in a comparable way, indeed even amore effective way, after single administration than after repeateddaily administration.

These combined studies support administration of travoprost in manaccording to a suitable dosage, namely, a non-daily applicationaccording to the present invention, which makes possible maximumeffectiveness of the compound to obtain a stimulation or induction ofthe growth of the hair follicles.

Each patent, patent application, publication, text and literaturearticle/report cited or indicated herein is hereby expresslyincorporated by reference in its entirety.

While the invention has been described in terms of various specific andpreferred embodiments, the skilled artisan will appreciate that variousmodifications, substitutions, omissions, and changes may be made withoutdeparting from the spirit thereof. Accordingly, it is intended that thescope of the present invention be limited solely by the scope of thefollowing claims, including equivalents thereof.

1. A non-daily method for stimulating or inducing the growth and/ordecreasing the loss and/or increasing the density and/or reducing theheterogeneity in the diameter of hair follicles in a human subject,comprising topically applying a thus effective amount of a medicamentcomposition which comprises from 0.005 to 0.01% travoprost onto suchhair follicles, for such non-daily period of time as required to elicitthe desired effect, wherein at least two non-daily topical applicationsare carried out at a time interval between them of every two, three,four, five or six days, or weekly, or once, twice or three times monthlywherein the travoprost is the only prostaglandin hair growth activeagent in the medicament composition.
 2. The non-daily method as definedby claim 1, comprising such topical application every four, five or sixdays.
 3. The non-daily method as defined by claim 1, comprising a weeklytopical application.
 4. The non-daily method as defined by claim 1,comprising a monthly topical application.
 5. The non-daily method asdefined by claim 1, comprising a twice or thrice monthly topicalapplication.
 6. The non-daily method as defined by claim 1, in whichsaid medicament comprises a lotion, a cream, an emulsion, a salve, amascara, a powder, a shampoo or a conditioner.
 7. The non-daily methodas defined by claim 1, said hair follicles comprising head hairs, bodyhairs and/or eyelashes.
 8. The non-daily method as defined by claim 1,wherein said subject is in need of treatment of androgenic alopecia. 9.The non-daily method as defined by claim 8, in which said medicamentcomposition is topically applied every four, five or six days, orweekly, or once, twice or three times monthly.
 10. A non-daily methodfor the treatment of androgenic alopecia, comprising topically applyinga thus effective amount of a medicament composition which comprises from0.005 to 0.01% travoprost onto the scalp of an individual in need ofsuch treatment, for such non-daily period of time as required to elicitthe desired effect, wherein at least two non-daily topical applicationsare carried out at a time interval between them of every two, three,four, five or six days, or weekly, or once, twice or three times monthlywherein the travoprost is the only prostaglandin hair growth activeagent in the medicament composition.